Reschke, Stacy Carmen

Reschke, Stacy Carmen is an individual health care provider with primary practice located at 924 State Highway 77 , Marion AR 72364-9004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reschke, Stacy Carmen can be contacted via phone (870) 739-8670.

Contact Information

Primary practice address
924 State Highway 77 Marion AR 72364-9004
Phone: (870) 739-8670
Fax: (870) 739-8706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17578 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A004774 Arkansas

Profile Details

NPI number 1467896886
LBN Legal business name Reschke, Stacy Carmen
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2013
Last updated Apr 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467896886 NPPES
Arkansas MEDICAID 214841758

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